HomeMy WebLinkAboutBuilding Permit 13. 1045 J
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o PRIn CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
0 ,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
U
v AND UTILITY CONNECTION PERMIT
44,NE I. while File
2 Pink city PERMIT NO. / 3fc -._
3 Yellow Applicant
(Please type or print and sign at bottom)
ADD ZONING (office use)
Nt
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER \,� _
(Name) ,.Y —C.4 - Cn ) (Phone)
(Address)
BUILDER // j r
(Company Name) /" r 5 P 1(G n 5/ r� ? P, Seri./ dP_ S (Phone) r 6/./' y.2,3- SA
(Contact Name) Mo o w k- A<' i vt (Phone) 5 ' i-
(Address) 5-5-3 9 41, A pci n e' 6.4- SF P /-
TYPE OF WORK D New Cons ruction ❑Deck ❑Porch DRe•Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace
❑Addition teration ❑Utility Connection
CODE: DI.R.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can , ok this pe for Just cause- Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
?<‘ X &C & 98/ 3 9 -af �3
Signature Contractor's License No. Date
Permit Valuation S /690 Park Support Fee # $
Permit Fee $ g4. Z5 SAC # $
Plan Check Fee $ .3 36 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ / , TC, Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ (47% //
This Applic ■ / in r omes Your Buirling Permit Whe Approv. ■ Paid ' • Irgli,— Recei * t No. ROME
A I J ' < Date – B Arr
„liegkat Build `fix, fate
ti
This is to certify a /the re .ii :t in the above application and accompanying documents is in ac' rrdance . th the City Zoning Ordinance and may proceed as requested. This document
when signed b ' r y • a er constitutes a temporary Certificate of Zoning compliance an. allows c struction to commence. Before occupancy, a Certificate of Occupancy must be
issued. 1 /`
t ' • , • • . Dirertor ± e Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
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2,4 lit.650 �s .
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2 C OF - i R LAKE
/ 2 * `1 (��C�✓✓� 1 D . ' ' ' PLAN REVIEW
MlIIPECTOR % !+
• •
DATE "' 7 _6Z row No a' •
ACCEPTED WITH CORREUTIONS AS NOTED
-
0 NOT ACCEPTED-CORP E CT & RESURMI
W 1 1 ' ' 4 • MIAMI comments are to your k • • -i ,on. M work shahs jo.
ectric - 1I - --
` • nqui n snnres including Ilion not specilailpolyd In Was
KEEP-THIS SET-0 - 1N
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECQRD
SITE ADDRESS 4o , �,�,,�� ► =� �C
NATURE OF WORK �-c...,—.
USE OF BUILDING t.
PERMIT NO 0' A E
CONTRACTOR i tilj .2 C , t=-ic'dt -" 65' PHONE 6 (m —4$- 3- 6 - Zr2—
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
-(Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
I-ItATI N G
RAIMEEMIQWEiR
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
FINALS
BUILDING 8 7
ELECTRICAL
e1
PLUMBING G�
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEE SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections and
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850